Posts In Category

Volume 7

Any junior doctor navigating the early stages of training will recognise the need to develop the ability to crystallise the essence of a clinical case with a few succinct questions and directed examination,


His syphilis serology was positive
– Initial IgG ELISA test positive
– TPHA positive
– IgM positive and RPR (128) positive confirm recent infection

All other screening tests (including viral

Case History

A 19 year old male with no previous medical history presented to hospital with an eight day history of jaundice and general malaise. He was homosexual with a history of unprotected sex

We read with interest to the article written by Kevin Fox 1 and wholly support the notion that acute medical trainees who wish to undertaken echocardiography within the medical admissions unit (MAU)

Prolonged unexplained fever is one of the most challenging problems encountered in clinical medicine. We report the case of a patient with an uncommon cause of Pyrexia of Unknown Origin (PUO)….

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A 20-year-old Asian, female, student nurse of thin body habitus (Body Mass Index 16.5) but otherwise previously well had numerous admissions to our centre under a variety of surgical sub-specialities

Takotsubo cardiomyopathy (TC), or apical ballooning syndrome (ABS), is becoming an increasingly recognised entity. Usually preceded by emotional stress, it is characterised by chest pain associated

Abstract Nocardiosis is caused by nocardia species, a Gram positive aerobic filamentous bacillus. It is ubiquitous in the environment and often presents as pulmonary disease in more than 70% of patients.1

Abstract The most common presentation of liver and biliary disease is jaundice, and most acute medical teams will encounter several jaundiced patients over time. Some of these patients will be extremely

Abstract Tuberculosis (TB) is one of the greatest threats to global public health, with 9.2 million new cases in 20061 and has become increasingly common in the UK. Central nervous system (CNS) infection…